Federal Register / Vol. 71, No. 184 / Friday, September 22, 2006 / Notices 55479 

Reporting: Yearly and Semi-annually 

Affected Public: Business or other forprofit, Not-for-profit institutions and 

Federal, State, local or tribal 

government; Number of Respondents: 

450,160; Total Annual Responses: 

1,225,173; Total Annual Hours: 522,204. 

2. Type of Information Collection 

Request: New collection; Title of 

Information Collection: Mail Survey of 

Medicare Advantage Special Needs 

Plans (SNPs)/Focus Groups with 

Enrollees of Medicare Advantage SNPs; 

Use: CMS is conducting an evaluation of 

Medicare Advantage Special Needs 

Plans (SNPs), which includes 

developing profiles of all SNPs that 

describe the structure and operation of 

these plans. A one-time short mail 

questionnaire will gather information 

about SNPs that is not available from 

other sources, such as reason for 

becoming a SNP, and information on 

care coordination. One-time 90-minute 

focus groups conducted during site 

visits to 15 SNPs will provide 

information on beneficiary experiences 

in SNPs, including decision to enroll 

and use of special services. Form 

Number: CMS–10194 (OMB#: 0938–

NEW); Frequency: Reporting—One-time; 

Affected Public: Business or other forprofit, Not-for-profit institutions; 

Number of Respondents: 350; Total 

Annual Responses: 350; Total Annual 

Hours: 395. 

3. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: Proper Claim 

Not Filed and Supporting Regulation in 

42 CFR 411.32(c); Use: Section 411.32(c) 

requires physicians, providers, other 

suppliers, and beneficiaries, in case 

where they failed to submit a proper 

claim with a third party payer to report 

these situations on the current Medicare 

forms. The primary payer will notify the 

physician, provider, other supplier, or 

beneficiary of the amount normally 

payable, the amount of the reduction 

payable because the claim was not filed 

properly, and the amount the physician, 

provider, other supplier, or beneficiary 

is being paid under the ‘‘primary plan’’

due to the reduction. The information is 

transmitted on an explanation of 

benefits or remittance advice 

determination that third party payers 

provide to all covered individuals and 

physicians, providers and other 

suppliers as part of an industry practice. 

The information contained in this 

explanation, whether or not it concerns 

improperly filed claims, is submitted to 

Medicare as part of the claims process. 

Form Number: CMS–R–136 (OMB#: 

0938–0564); Frequency: Reporting—On 

occasion; Affected Public: Business or 

other for-profit, Not-for-profit 

institutions, and Individuals or 

Households; Number of Respondents: 

1,129,000; Total Annual Responses: 

1,129,000; Total Annual Hours: 1. 

4. Type of Information Collection 

Request: Revision of a currently 

approved collection; Title of 

Information Collection: Medicare Part D 

Reporting Requirements and Supporting 

Regulations under 42 CFR 423.505; Use: 

Data collected via Medicare Part D 

Reporting Requirements will be an 

integral resource for oversight, 

monitoring, compliance and auditing 

activities necessary to ensure quality 

provision of the Medicare Prescription 

Drug Benefit to beneficiaries. Data will 

be validated, analyzed, and utilized for 

trend reporting by CMS. If outliers or 

other data anomalies are detected, CMS 

will work in collaboration with other 

CMS divisions for follow-up and 

resolution. Form Number: CMS–10185 

(OMB#: 0938–0992); Frequency: 

Reporting: Quarterly and Semiannually; Affected Public: Business or 

other for-profit; Number of 

Respondents: 3,203; Total Annual 

Responses: 179,368; Total Annual 

Hours: 122,902. 

To obtain copies of the supporting 

statement and any related forms for the 

proposed paperwork collections 

referenced above, access CMS Web site 

address at http://www.cms.hhs.gov/ 

PaperworkReductionActof1995, or email your request, including your 

address, phone number, OMB number, 

and CMS document identifier, to 

Paperwork@cms.hhs.gov, or call the 

Reports Clearance Office on (410) 786–

1326. 

Written comments and 

recommendations for the proposed 

information collections must be mailed 

or faxed within 30 days of this notice 

directly to the OMB desk officer: OMB 

Human Resources and Housing Branch, 

Attention: Carolyn Lovett, New 

Executive Office Building, Room 10235, 

Washington, DC 20503, Fax Number: 

(202) 395–6974. 

Dated: September 15, 2006. 

Michelle Shortt, 

Director, Regulations Development Group, 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 06–8072 Filed 9–21–06; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–R–282, CMS–R–

240, CMS–10204 and CMS 10209] 

Agency Information Collection 

Activities: Proposed Collection; 

Comment Request 

AGENCY: Centers for Medicare & 

Medicaid Services, HHS. 

In compliance with the requirement 

of section 3506(c)(2)(A) of the 

Paperwork Reduction Act of 1995, the 

Centers for Medicare & Medicaid 

Services (CMS) is publishing the 

following summary of proposed 

collections for public comment. 

Interested persons are invited to send 

comments regarding this burden 

estimate or any other aspect of this 

collection of information, including any 

of the following subjects: (1) The 

necessity and utility of the proposed 

information collection for the proper 

performance of the agency’s functions; 

(2) the accuracy of the estimated 

burden; (3) ways to enhance the quality, 

utility, and clarity of the information to 

be collected; and (4) the use of 

automated collection techniques or 

other forms of information technology to 

minimize the information collection 

burden. 

1. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: Medicare Health 

Plan Appeals and Grievance Data 

Collection and Reporting Requirements, 

Data Disclosure Requirements § 422.111; 

Use: Medicare Advantage (MA) 

organizations and demonstrations are 

required to disclose information 

pertaining to the number of disputes, 

and their disposition in the aggregate. 

Organizations provide appeals and 

grievance information to individuals 

eligible to elect an MA organization, or 

persons or entities making the request 

on behalf of the individuals who request 

this information. MA eligible 

individuals will use this information to 

help them make informed decisions 

about their organization’s performance 

in the area of appeals and grievances. 

Form Number: CMS–R–0282 (OMB#: 

0938–0778); Frequency: Recordkeeping, 

Third Party Disclosure and Reporting—

Semi-annually; Affected Public: 

Business or other for-profits and Notfor-profit institutions; Number of 

Respondents: 434; Total Annual 

Responses: 868; Total Annual Hours: 

876. 


sroberts on PROD1PC70 with NOTICES
55480 Federal Register / Vol. 71, No. 184 / Friday, September 22, 2006 / Notices 

2. Type of Information Collection 

Request: Revision of a currently 

approved collection; Title of 

Information Collection: Provider-based 

Status Regulations in 42 CFR 413.24 and 

413.65; Use: Section 1833(t) of the 

Social Security Act (of the Act), as 

amended by section 4523 of the 

Balanced Budget Act of 1997 (the BBA) 

requires the Secretary to establish a 

prospective payment system (PPS) for 

hospital outpatient services. Successful 

implementation of an outpatient PPS 

requires that CMS distinguish facilities 

or organizations that function as 

departments of hospitals from those that 

are freestanding, so that CMS can 

determine which services should be 

paid under the PPS. Regulations found 

at 42 CFR 413.65(b)( 3) and (c) require 

the submission of the information CMS 

needs to make the determination of 

whether an organization functions as a 

department of a hospital or functions as 

a freestanding facility. In addition, 

section 1866(b)(2) of the Act authorizes 

hospitals and other providers to impose 

deductible and coinsurance charges for 

facility services, but does not allow such 

charges by facilities or organizations 

which are not provider-based. 

Implementation of this provision 

requires that CMS have information 

from the required reports, so it can 

determine which facilities are providerbased. Form Number: CMS–R–240 

(OMB#: 0938–0798); Frequency: 

Recordkeeping—On occasion; Affected 

Public: Business or other for-profit, Notfor-profit institutions; Number of 

Respondents: 750; Total Annual 

Responses: 872; Total Annual Hours: 

26,063. 

3. Type of Information Collection 

Request: New collection; Title of 

Information Collection: Evaluation of 

the Medical Adult Day-Care Services 

Demonstration, Phase I; Use: This 

request seeks Office of Management and 

Budget’s (OMB) approval of (1) 

collection of enrollment data by 

demonstration sites and (2) face-to-face 

interviews with Medicare beneficiaries 

(not to exceed 45 minutes in length). 

These data collection and interviews are 

to be completed during Phase I of the 

Evaluation of the Medical Adult DayCare Services Demonstration (Contract 

Number 500–00–0038/5). 

Section 703 of the Medicare 

Prescription Drug, Improvement and 

Modernization Act of 2003 (MMA) (Pub. 

L. 108–173) authorizes a three-year 

demonstration to assess the clinical and 

cost-effectiveness of providing medical 

adult day-care services as a substitute 

for a portion of home health services 

that would otherwise be provided in the 

beneficiary’s home. Under this 

authority, the Centers for Medicare & 

Medicaid Services (CMS), through its 

Office of Research, Development and 

Information (ORDI), is conducting the 

Medical Adult Day-Care Services 

Demonstration. Five Medicare certified 

home health agencies were selected by 

CMS through a competitive process to 

participate in the demonstration. These 

five demonstration sites are Aurora 

Visiting Nurse Association (Milwaukee, 

Wisconsin), Doctor’s Care Home Health 

(McAllen, Texas), Landmark Home 

Health Care Services (Allison Park, 

Pennsylvania), Metropolitan Jewish 

Health System (Brooklyn, New York) 

and Neighborly Care Network (St. 

Petersburg, Florida). Form Number: 

CMS–10204 (OMB#: 0938–NEW); 

Frequency: Reporting—One-time; 

Affected Public: Individuals and 

Households, Business or other for-profit 

and Not-for-profit institutions; Number 

of Respondents: 55; Total Annual 

Responses: 110; Total Annual Hours: 

297.5. 

4. Type of Information Collection 

Request: New collection; Title of 

Information Collection: Chronic Care 

Improvement Program (CCIP) and 

Medicare Advantage Quality 

Improvement Project (QIP); Use: 42 CFR 

422.152 requires each Medicare 

Advantage Organization (MAOs) (other 

than Medicare Advantage (MA) private 

fee for service and MSA plans) that 

offers one or more MA plan to have an 

ongoing quality assessment and 

performance improvement program. 

Information collected in the QIP and 

CCIP Reporting Templates will be an 

integral resource for oversight, 

monitoring compliance and auditing 

activities necessary to ensure high 

quality provision of general health 

services and chronic care services to 

Medicare beneficiaries. Form Number: 

CMS–10209 (OMB#: 0938–New); 

Frequency: Recordkeeping, and 

Reporting—Annually; Affected Public: 

Business or other for-profits and Notfor-profit institutions; Number of 

Respondents: 426; Total Annual 

Responses: 852; Total Annual Hours: 

38,050. 

To obtain copies of the supporting 

statement and any related forms for the 

proposed paperwork collections 

referenced above, access CMS’ Web site 

address at http://www.cms.hhs.gov/ 

PaperworkReductionActof1995, or email your request, including your 

address, phone number, OMB number, 

and CMS document identifier, to 

Paperwork@cms.hhs.gov, or call the 

Reports Clearance Office on (410) 786–

1326. 

To be assured consideration, 

comments and recommendations for the 

proposed information collections must 

be received at the address below, no 

later than 5 p.m. on November 21, 2006. 

CMS, Office of Strategic Operations and 

Regulatory Affairs, Division of 

Regulations Development—C, Attention: 

Bonnie L Harkless, Room C4–26–05, 

7500 Security Boulevard, Baltimore, 

Maryland 21244–1850. 

Dated: September 15, 2006. 

Michelle Shortt, 

Director, Regulations Development Group, 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 06–8073 Filed 9–21–06; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[CMS–8030–CN] 

RIN 0938–AO23 

Medicare Program; Medicare Part B 

Monthly Actuarial Rates, Premium 

Rates, and Annual Deductible for 

Calendar Year 2007; Correction 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), HHS. 

ACTION: Correction of notice. 

SUMMARY: This document corrects a 

technical error in the notice that 

appeared in the Federal Register on 

September 18, 2006 entitled ‘‘Medicare 

Part B Monthly Actuarial Rates, 

Premium Rates, and Annual Deductible 

for Calendar Year 2007.’’

Effective Date: January 1, 2007. 

FOR FURTHER INFORMATION CONTACT: M. 

Kent Clemens, (410) 786–6391. 

SUPPLEMENTARY INFORMATION: 

I. Background 

In FR Doc. 06–7709 of September 18, 

2006 (71 FR 54665), there was a 

technical error in the calculation of the 

income-related monthly adjustment 

amounts. This error is identified and 

corrected in the Correction of Errors 

section below. The provisions of this 

correction notice are effective as if they 

had been included in the document that 

appeared in the Federal Register on 

September 18, 2006. Accordingly, the 

corrections are effective January 1, 2007. 

Under section 5111 of the Deficit 

Reduction Act of 2005 (Pub. L. 109–171) 

(DRA), in 2007 beneficiaries will be 

responsible for 33 percent of any 

applicable income-related monthly 

adjustment to the Part B premium. In 

the earlier notice, we inadvertently 

stated that beneficiaries would only be 


sroberts on PROD1PC70 with NOTICES